Individual
NANCY JURCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-6200
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
214008
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214008
MA LIC
MA
Enumeration date
08/07/2009
Last updated
04/06/2016
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